title: Anomalous origin of left coronary artery from pulmonary artery (ALCAPA).
abstract: Anomalous origin of the left coronary artery from the pulmonary artery also recognized as Bland White Garland syndrome is a very rare congenital condition. A two-months old baby boy presented with dyspnoea for two weeks and a pansystolic murmur on auscultation. The base line investigations showed cardiomegaly and bilateral basal haze on X-ray chest. ECG showed ST elevation in leads l and AVl and echocardiography showed situs solitus, levocardia, hypokinetic intraventricular septum, ejection fraction of 30%, mitral regurgitation of grade-I and an anomalous origin of the left coronary artery from pulmonary artery was diagnosed. Patient was in left heart failure. It was rectified surgically by creating a transpulmonary tunnel (Takeuchi repair). Postoperative course was uneventful and he was finally discharged in stable condition.
authors.affiliation: Intensive Care (ITC) / Anaesthesiology2, Armed Forces Institute of Cardiology and National Institute of Heart Disease, Rawalpindi.
authors.forename: Zilfah
authors.initials: Z
authors.lastname: Younus
authors.forename: Rawail
authors.initials: R
authors.lastname: Iftikhar
authors.forename: Iftikhar
authors.initials: I
authors.lastname: Ahmed
mesh_terms: D063748:Bland White Garland Syndrome / Q000175:diagnosis* / Q000601:surgery; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000000981:diagnostic imaging* / Q000601:surgery; D004417:Dyspnea / Q000209:etiology*; D006801:Humans; D007223:Infant; D008297:Male